J. Leroy Cook Memorial Scholarship - Reference Form
Name *
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Email Address *
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Address *
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Mobile Phone number *
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Name of scholarship applicant *
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Relationship to scholarship applicant *
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How long have you known applicant? *
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Select appropriate rating for each trait *
Stands Out Above Peers
Demonstrates
Still Growing
Motivation
Discipline
Attitude
Leadership
Character
Personal comments/remarks about applicant *
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